| NPI | 1871039164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05827) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2017000511) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |